Provider Demographics
NPI:1215495882
Name:CLINT BANKS BEHAVIORAL HEALTH CONSULTING PLLC
Entity type:Organization
Organization Name:CLINT BANKS BEHAVIORAL HEALTH CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:EMERY
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-682-6080
Mailing Address - Street 1:680 BOLLONS ISLAND ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-0965
Mailing Address - Country:US
Mailing Address - Phone:702-682-6080
Mailing Address - Fax:
Practice Address - Street 1:8870 S MARYLAND PKWY STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-4010
Practice Address - Country:US
Practice Address - Phone:702-682-6080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-03
Last Update Date:2019-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty